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Dr. Subashini

Endocrinologist, Chennai

500 at clinic
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Dr. Subashini Endocrinologist, Chennai
500 at clinic
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I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care....more
I'm a caring, skilled professional, dedicated to simplifying what is often a very complicated and confusing area of health care.
More about Dr. Subashini
Dr. Subashini is a trusted Endocrinologist in Alwarpet, Chennai. You can consult Dr. Subashini at Dr. Subashini@Girishwari Hospital in Alwarpet, Chennai. Don’t wait in a queue, book an instant appointment online with Dr. Subashini on Lybrate.com.

Lybrate.com has an excellent community of Endocrinologists in India. You will find Endocrinologists with more than 28 years of experience on Lybrate.com. You can find Endocrinologists online in Chennai and from across India. View the profile of medical specialists and their reviews from other patients to make an informed decision.

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Girishwari Hospital

#19, KB Dhasan Road, SIB College Road, Alwarpet, Landmark: Opp. Vidya ENT Hospital, ChennaiChennai Get Directions
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What is the right time to take tablet of thyroid hormone supplements daily? In a recent research it has been proved that it is better to take thyroid hormone supplements tablet at bed time. What is your opinion?

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. lybrate-user, Thanks for the query. Best time to take Thyroxine tablet is early morning on empty stomach even today. The recent finding says it can be taken at bedtime also, but best is as mentioned above. Plus not to eat anything for at least 1 to 1 and half hour. Thanks.
2 people found this helpful
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I am just 30 years old and I came to know before few days that I am diabetic. Now I am worried and don't want to go for allopathic treatment or tablets. Please suggest any home remedies or exercise for sugar patient.

BSc - Food Science & Nutrition, PGD in Sports Nutrition and Dietitics
Dietitian/Nutritionist, Mumbai
I am just 30 years old and I came to know before few days that I am diabetic. Now I am worried and don't want to go f...
Hello, You can easily manage your, blood sugar levels without getting stressed out. You might be given simple oral hypoglycemic agents which will help you to manage it well, along with diet and regular exercise. However, the medicines will gradually start getting omitted once you maintain your ideal body weight by following good diet and exercise regime.
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Mam if we take milk with turmeric powder without any sugar is good for diet correct or wrong. And what are the uses of using this. Let me know if possible. And if we apply curd on pigmentation marks does it works quickly or not? It lightens the marks.

MBBS
General Physician, Jalgaon
Mam if we take milk with turmeric powder without any sugar is good for diet correct or wrong. And what are the uses o...
Please For skin pigmentation. You can take milk plus Turmeric No harm, in fact it will boost your immunity also You can apply curd, three times a week, on face It will cleans and moisturize your face Please Take Tab purim by Himalaya 1pack 2..2..2 Tab fersoft Z. 30 1 Tab osto cacium 1..1 Reconsult after 15 days.
1 person found this helpful
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Vitamin B6 Deficiency- Signs You Are Suffering From It!

MBBS
General Physician, Chittorgarh
Vitamin B6 Deficiency- Signs You Are Suffering From It!

How many of us know that a deficiency of Vitamin B6, also known as pyridoxine can make you susceptible for heart disease, brain degenerative diseases like Alzheimer’s as well as muscle pain, depression and dragging fatigue?

Vitamin B6 is one of the most crucial vitamins for health and it’s a part of the vitamin B complex family. Now, all B vitamins, including vitamin B6, play an important role in a number of life-altering physical and psychological functions. All of them have a vital role to play in helping to maintain a healthy metabolism, nerve and liver function as well as skin and eye health, as well as good amount of energy levels.

Role of Vitamin B6
Vitamin B6 or pyridoxine has a number of derivatives, including pyridoxal, pyridoxal 5-phosphate and pyridoxamine. And all of these are involved in major body functions like movement, memory, energy use and blood flow. This is the primary reason why a vitamin B6 deficiency can show up in a range of symptoms from physical to psychological, temporary to chronic and serious.
Vitamin B6 also helps your body to

Maintain a healthy nervous system

  1. To make more hemoglobin, blood cells that carry oxygen in blood
  2. To provide energy from our food
  3. To balance blood sugar levels
  4. To act as a natural pain relief
  5. To boost mood
  6. To create antibodies for self-protection

Preventing a Vitamin B6 Deficiency
The recommended amount of vitamin B6 for an adult under the age of 50 is 1.3 milligrams. Normally, this amount is easy to get from your diet, assuming you are eating a balanced diet with enough calories. However, the amount the body’s requirement for vitamin B6 jumps up as you age. Experts recommend that adults over 50 get up to 1.7 milligram daily of this vitamin.

As this requirement is not met, older people get more prone to a vitamin B6 deficiency and so do malnourished children and adults. Foods like poultry, pork, nuts and beans contain high levels of vitamin B6 and you can include more of these to get the recommended dose of vitamin B6. However, since vitamin B6 is a water-soluble vitamin, so you need to replenish your body with it daily as it doesn’t get stored in the body.

Symptoms of Vitamin B6 deficiency:
Lack of energy and chronic fatigue
Vitamin B6 helps supply your body with energy by improving your metabolism. It has a vital role to play in protein metabolism – it helps your body break down the protein that you eat and produce energy quickly. So one very important pointer that you have a vitamin B6 deficiency is when you get fatigued quickly during exercise.
Brain function decline: Vitamin B6 vitamin helps your brain communicate with other parts of the body more efficiently. So, if you have a decline in muscle efficiency it could be a sign of vitamin B6 deficiency.
High Levels of amino acid Homocysteine: High levels of amino acid Homocysteine do not cause any symptoms that you can detect by yourself but tests can tell you if you have high levels of this amino acid in your body. And these high levels are directly linked to vitamin B6 deficiency. What high levels of homocysteine can do is cause heart attacks. But vitamin B6 helps keep a check on these levels to reduce your risk for a cardiovascular event.

Other symptoms of vitamin B6 deficiency are:

  1. Changes in mood, such as depression, irritability, and anxiety
  2. Confusion
  3. Muscle pains
  4. Fatigue
  5. A worsening of PMS symptoms
  6. And worsening of symptoms of anemia
  7. As vitamin B6 is so important for nerve function, a deficiency is linked with neuro-psychiatric disorders like seizures, migraines, and chronic pain.
  8. An increased risk of heart disease and rheumatoid arthritis
  9. Higher risk for Alzheimer’s disease and other forms of dementia. If you wish to discuss about any specific problem, you can consult a General Physician.
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I am 48 years old and is suffering from hypo-thyroid to the range above 9. I am taking thyronorm 50. Please suggest accordingly.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I am 48 years old and is suffering from hypo-thyroid to the range above 9. I am taking thyronorm 50. Please suggest a...
Mr Satyeshwar, TSH level mentioned (9 milli units / ml) is after taking 50 mcg throxine for some time or is it before starting the treatment? If it is current, that is after taking treatment, then dose of thyroxine needs to be increased. Plus looking at height and weight your BMI is 30.12 kg/M2, which shows grade 1 obesity. Your ideal body weight should be 58 kgs. Hence regular exercise and diet control also required.
1 person found this helpful
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sir done HLAB27 test report is positive what you suggest and thanks for guide to me.

MBBS, DNB TRAINEE(General Medicine), Post Graduate Diploma in Healthcare Management (P.G.D.H.M)
Internal Medicine Specialist, Durgapur
sir done HLAB27 test report is positive what you suggest and thanks for guide to me.
Ankylosing spondyloarthropathy is treatable but not always with desired relief. Swimming regularly is helpful.
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Suffering from diabetes from 7 years, I want insulin pump for daily use, insugen R& N Mixed morning 31 & night 26 units.

Bachelor of Ayurveda, Medicine and Surgery (BAMS)
Ayurveda, Haridwar
Suffering from diabetes from 7 years, I want insulin pump for daily use, insugen R& N Mixed morning 31 & night 26 units.
Take ayurveda treatment now And daily yoga with yoga teacher First start with insulin Consult patanjali clinic.
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My father is 79years old and he is having severe acidity, so my question is whether he can take ALOPATHIC AND HOMEOPATHIC medicine for the same treatment in the same day, he is having both type of medicine (ALOPATHIC AND HOMEOPATHIC. He is also a heart patient and a diabetic.

BHMS
Homeopath, Sindhudurg
My father is 79years old and he is having severe acidity, so my question is whether he can take ALOPATHIC AND HOMEOPA...
Do not take medicine of ayurvedic and homoepathic together. Home Remedies of Acidity: Avoid all types of fast food, non-vegetarian food and oily/spicy food. Take as much fruit as possible. This will help to increase alkaline in the body, neutralizing the acidity affects. Banana, Water Melon and cucumber are few recommended fruits which are proved helpful in acidity. Drink sufficient water (At least 3 ltr). Take water more frequently. Almond helps in quick control over heart burn. Whenever you feel like heart burn, take few pieces of Almonds. Jaggery (gur) is a proven home remedy for acidity. Put one piece in mouth and suck it slowly. Green coconut water is very helpful in acidity. Sleep sufficient. Do not work till late night. Fresh mint juice helps in reducing the side effects of acidity. You can have a glass of mint juice after food for a fast relief. Take a small piece of raw garlic; this is a very good digestive element. But don’t take overdose, or else it will have negative effect on acidity.
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I had thyroid which showed normal in last two tests. But still i am not loosing weight. And I am having some symptoms like fatigue and depression sometimes and hair fall. So what shall I do next? I tried my hard to loose weight but no use. Please suggest me something practical and really useful.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I had thyroid which showed normal in last two tests. But still i am not loosing weight.  And I am having some symptom...
Hi are you taking the tablets thyroxine regularly or have you stopped? if you have stopped then please start again, because the treatment is for life time. You can not stop it in between and expect to get rid of symptoms as well as loose weight. Your tsh levels return to normal only the treatment is going on. Therefore restart the treatment right away. Then only your effort in reducing weight will be fruitful.
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I have hypothyroid since last 15 years what should I do for better cure? please suggest me home made treatment.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
I have hypothyroid since last 15 years what should I do for better cure? please suggest me home made treatment.
IN HYPOTHYROIDISM:--- where there is deficiency of thyroxine hormone leading to sluggishness, tired feeling, weight increase, slow heart beats, intolerance to cold, swelling of legs, feet and face, difficulty in concentrating and at times in speech. Treatment for hypothyroidism is giving thyroxine tablets. And dose are according to level of thyroid for life time. Avoid bad habits . Avoid stress. Some Relax during work. Go for walk, Take plenty of water, high-carbohydrate foods such as potatoes, rice, pasta and bread. Nutrient-rich foods that improve your health may also benefit your thyroid gland, antioxidant-rich fruits and vegetables more plenty of water: Blueberries, tomatoes, bell peppers, and other foods rich in antioxidants can improve overall health and benefit the thyroid gland. Eating foods high in B vitamins, like whole grains, may also help. flax oil, Selenium: Tiny amounts of selenium are needed for enzymes that make thyroid hormones to work properly. Eating selenium-rich foods, such as sunflower seeds or Brazil nuts, can be beneficial. Tyrosine: This amino acid is used by the thyroid gland to produce T3 and T4. Taking a supplement may help, avoid oily foods,junk foods, go for walk. Do Tests every 3 to 6 months. And consult doctor on time.
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I have thyroid but I do no whether it is normal or hypothyroid but my test suggested that I have 10 sum thing like that can you please tell me whether it is normal or what I'm 20 years gal soon I'm getting married one of the lady doctor told me that if you have thyroid it Vll be difficult at the time of conceiving it is true? please suggest me suitable measures asap.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
I have thyroid but I do no whether it is normal or hypothyroid but my test suggested that I have 10 sum thing like th...
Hello, Thanks for the query. Please clarify whether the query is from a male or a female. Because conception is only the problem seen females. If a female has hypothyroidism and if it is not well controlled, then menstrual periods are affected, ovulation is affected and hence conception may not take place. So if hypothyroidism is present then it must be properly treated with adequate dose of thyroxine. Thanks.
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What is the difference between Metformin Hcl IR and metformin Hcl SR. Which is better for a diabetic?

Dip.Diab, Fellowship Diabetology (Gold Medallist), MBBS
Diabetologist, Thane
What is the difference between Metformin Hcl IR and metformin Hcl SR. Which is better for a diabetic?
Ir is immediate release and sr is sustained release formulations. Both work well but usually sr formulations have lesser gastrointestinal side effects.
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I am suffering for diabetic for last 12 years and use the following medicines are this is correct medicines 1) Tryglaycomat 2) galvus 500/50 mg 3) Genex Vast 10 mg please tell me.

Diploma in Diabetology, P.G. Diploma in Health Science (Diabetology), Certificate Course in Evidence based Diabetes Management -, MBBS
Endocrinologist, Thane
I am suffering for diabetic for last 12 years and use the following medicines are this is correct medicines 1) Trygla...
Dear lybrate-user, diabetes treatment has got many options and each doctor chooses drug based on patient's age, gender and duration of diabetes. The final goal is sugar, bp and cholesterol control with protection of vital organs. If above-mentioned drugs are controlling your parameters with no side effects then you are on right treatment. Regards.
2 people found this helpful
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Sir I have done uric acid test and it came out That I have 8 uric acid value. What are the precautions and what should I eat.

MBBS, CCEBDM, Diploma in Diabetology
Endocrinologist, Hubli-Dharwad
Mr. Lybrate-user, increased uric acid can cause joint pains or may lead to a condition called gouty arthritis, which may begin as a severe painful swelling in big toe. Precautions to be taken are reduce intkae of foods containing high purines like red meat, orggan meat, sweetened drinks, alcohol, hugh fat products, fishes like sardines, scallops, herrings, trout, salmon and mussels, mushrooms. Increase the intake of whole grain products, milk products with low fat. Skinned chicken and eggs can be consumed.
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I am 48 years female. Due to a minor accident some 6 months back, I developed a lymphic cyst in neck specifically in thyroid. Can it be cured with medicines or only surgical extraction is feasible.

DHMS (Diploma in Homeopathic Medicine and Surgery)
Homeopath, Ludhiana
Homoeopathic medicine------------- adel-48 drops (adel) drink 10 drops in 20 ml fresh water 3 times daily for 30 days nd consult me thereafter----------------
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Diabetes- Everyone should know about (Dos And Don'ts)

MD - Homeopathy
Homeopath, Vadodara
Diabetes- Everyone should know about (Dos And Don'ts)

While india is racing towards the no 1 country having the most number of diabetic patients, though the knowledge regarding the general guidelines about diabetes care, or dos and dont's to follow is lacking on a very large scale patients and that includes the most literate persons also.

There are a few things that matters the most which are as follows:

1) diet: most patients are in knowledge that the diet should be restricted in sweets. But rarely anybody knows that only restriction of food that taste sweet will not do the needed.

The food high in carbohydrates also must be included in the list as carbohydrates are the first line source of the body's energy store to convert them in to sugar.

E. G. Rice, potatos, bananas, or over ripen fruits.

And advice is to take them in minimum quantity instead of completely banning them.

Again how to eat? the advise is to divide your large meals in to smaller meals at the interval of 3-4 hours. Avoid eating too much at a time. Diabetes patients also should not indulge in fasting too much.

2) exercise: now many knows that diabetes is having two types: insulin dependent and insulin independent.

In the first type there is actual lack of effective circulating insulin, while the second types does have most of the time considerable amount of insulin to be used but the effectiveness is reduced. Because of the increased amount of fat deposition around cells. In that case doing prescribed exercise will not only help build the general health but by reducing the fat layer around the cells it helps the insulin to reach its effector cells and do its functions normally. Thats why exercise is one of the crucial key points in the diabetic regime.

3) regular investigation: this a very major dilema in many patients that I have observed throughout my practice. Many of the patients don't go for investigation in the fear that what if the blood sugar level comes abnormal. At that point I could remember a saying" if a cat drinks milk with the eyes closed, it doesn't mean that world does not see it.

If its already abnormal then by going for the investigation will make you aware and you can take proper preventive steps to by pass any complications that might have fall upon you.

So advise isto go for the regular blood sugar checkup at least once every two months for those whose levels remains under the normal range and often if it is uncontrolled.

And one should also think of investigated for hba1c every 3-4 months as it will give general idea of the glycemic control.

4) general prevention of complication and specific cares:

By following the above mentioned points you could easily prevent the major complications. But there are also some specific cares you should not ingnore:

Like get examined for any underlying heart condition, or opthalmic conditions, or the like, or kidney problems, or neurological involvement.

Out of these one that I care the most and patients ingnore the most is foot care: 

Why is this important: as our feet not being a vital organ we usually ignore but it can be a reason for a very major complication and even can be fatal.

How?

Because of diabetes there are very chances that any injury will not heal at a normal pace and if not taken a due care then it can turn into gangrene. Which we all know that leads to amputation and life long being a handicap. 

Because of poor supply and other vascular degeneration it can cause deep vein thrombosis means the veins in you leg gets obstructed by clotts and if such clott dislodges from there and gets in to the circulation then whenever it gets deposited it causes a grave complication like myocardial infarction (heart attack), stroke (paralysis), or other organs can also get affected.

These were some important topics that I thought the general population should know so that they can educate themselves and minimize their emergency visits to the doctors.

Being a homeopath I cannot restrain myself to propogate homeopathy because it is as a true notion that a harmless and gentle treatment, less costly than any other mode of treatment (directly or indirectly), very easy to follow (just few white sugar pills and drops of medicines), prevents the above mentioned complications, and not only that also improves the general health.

There are some homeopathic medicines well proved to be very effective and unquestionable positive effects:

E. G:- syzigium jambolanum, cephalendra, abroma augusta, uranium nitricum, phosphoric acid etc.

Note: above mentioned medicines are very useful and anybody can try but the advise is to consult the specialist as the doses and the repititions needs to be regulated case specifically.

1 person found this helpful

I am 61 years my diabetes is under control pls let me know what blood tests are required in routine.

Practical Course in Diabetology, POST GRADUATE COURSE IN DIABETOLOGY, MBBS
Endocrinologist, Jammu
I am 61 years my diabetes is under control pls let me know what blood tests are required in routine.
Blood sugar every month, kidney function test, lipid profile once in six months. Hba1c every three months. Eye check up every year.
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My wife is 42 yrs. Old. At present she has found as thyroid problem, so she is feeling very weakness in physically & also mentally. Please suggest me for above this subject, so that I can give treatment as well as in low cost with less time. Thanks.

MBBS, MD - Internal Medicine
Internal Medicine Specialist, Faridabad
give her tab. thyrox 50 mcg bbf, cap. neurokind plus 1od. after meal. support her . People with hypothyroidism may want to limit their intake of broccoli, Brussels sprouts, cabbage, cauliflower, kale, turnips, and bok choy. Cooking the vegetables can reduce the effect that cruciferous vegetables have on the thyroid gland.
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I am 74 year old woman. Diabetes and B P well under control due to medication. Almost daily morning When I try to get out of my bed/cot, I feel that my leg muscles are stiffened and I have to wait for the muscles (especially calf) to get relaxed. What is the cure? I prefer to avoid interaction over phone. I prefer email.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), PG Dip Panchakarma, PG Dip Ksharsutra for piles,pilonidal sinus and fistula management , Post Graduate Diploma In Hospital Administration (PGDHA), Certificate in Diabetes update
Ayurveda, Navi Mumbai
I am 74 year old woman. Diabetes and B P well under control due to medication. Almost daily morning When I try to get...
Thanks for expecting Assertive Health n progressive fittness with Holistic Ayurveda Approach, its unfortunate but vataj issue hope you maintain Healthier habits of Exercise n sleep pattern with nutrition too n your levels of Vit B12 n D in limits. Till you consult AYURVEDIC Dr. or college Hospital pop Almond oil 10 ml before bed and apply coconut oil (mixed n warm by adding camper) on palm, feet, naval area n head. Hope you'll love to follow n feedback after a week.
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Dear doctor, my daughter is 8 yrs. Old she have diagnosed thyroid recently her report is ft3 4. 23 ft4 1. 23 tsh ( ultra sensitive) 6. 59 some doctors said not to worry but one doctor said give her one tablet rest of life we r so confused give me a right advice what to do ?

M.D.( Pediatrics), DCH
Pediatrician,
See the standard ref. For normal values for that lab, and look if they are low or not for your daughter. But once started you have to give lifelong. If still confused, visit paediatric endocrinologist. It is worth, you are dealing with a illness for rest of life.
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